TABATHA BENNINGFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210167

License Status

NOT RENEWED

Business

First Name

TABATHA

Last Name

BENNINGFIELD

Prefix

Business Name

TABATHA BENNINGFIELD

Original Issue Date

04/05/2012

Effective Date

03/06/2013

Expiration Date

03/31/2014

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/06/2014